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Priapism in a patient with sickle cell trait using marijuana
Abhishek Matta1, Pavan Kumar Tandra, Lyudmyla Berim
1Department of Internal Medicine, Creighton University Medical Center, Omaha, Nebraska, USA.
BMJ Case Reports
|May 7, 2014
Summary
Priapism, a prolonged erection, can be a medical emergency. This case highlights successful surgical intervention for refractory priapism in a patient with sickle cell trait.
Area of Science:
- Urology
- Hematology
Background:
- Priapism is a prolonged erection, often requiring urgent medical attention.
- Sickle cell trait can be associated with priapism, though not always with a known family history.
Observation:
- A 22-year-old male presented with a 48-hour erection refractory to home management.
- He had a positive sickle solubility test and confirmed sickle cell trait, with a positive urine drug screen for cannabinoids.
Findings:
- Initial treatment with intracavernosal phenylephrine was unsuccessful.
- A limited El-Ghorab procedure provided partial relief.
- A subsequent bilateral El-Ghorab procedure successfully resolved the priapism.
Implications:
- This case underscores the importance of considering sickle cell trait in priapism evaluation.
- Surgical intervention, such as the El-Ghorab procedure, may be necessary for refractory cases.
- Prompt and effective management is crucial to prevent long-term complications of priapism.
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